Who this is for: Interns (PGY1) and PGY2s enrolled in the AMC National Framework.

Exempt: PGY2s in specific training programs (BPT, Psychiatry, etc.). PGY3+ may participate voluntarily.

Annual Requirements at a Glance

The AMC Framework requires all Prevocational Doctors in the Framework to complete certain assessments and tasks in order to successfully complete each term and achieve certification at the end of the clinical year.

Further information about these requirements and who can complete these assessments with you can be found on the CLA ePortfolio page.

Assessment Frequency Completed by
Beginning of Term Discussion Every term You + Term Supervisor
Mid Term Assessment Every term (~week 5) Registrar or Supervisor
End of Term Assessment Every term Term Supervisor
EPAs Min 2 per term (10 per year) Trained Assessor

The only exception is your relieving term (non-service term) where no assessments are required. We highly recommend continuing to complete EPAs during this time to prevent excessive workload in your other three terms.


Beginning of Term Discussion

Under the National Framework for Prevocational Medical Training, PGY1s & 2s are required to meet with their term supervisor at the beginning of each term to:

  1. Review the term description and agree on learning objectives and assessments
  2. Discuss learning outcomes to focus on during the term
  3. Complete the Beginning of Term Discussion on your CLA Portfolio

Resources

Term Descriptions

Guide the discussion; located on the NH Medical Education Teams channel.

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Term Supervisor List

Updated May 2025

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Important Notes

  • If you cannot meet your assigned Term Supervisor, you may meet with another consultant or Fellow in the unit
  • The Beginning of Term Discussion is a mutual obligation — you are expected to approach your supervisor, and they are expected to provide the conditions for the discussion
  • Is it compulsory? Yes — it is part of the AMC Framework requirements

For concerns, email Northern Doctors Education.


Mid Term Assessments

Completed around week 5 of each term. Mid Term assessments are intended to:

  • Provide timely feedback on your progress
  • Identify any learning needs that have arisen during the term
  • Discuss strategies to effectively address them

Mid Term assessments can be completed with a registrar and sent to the Term Supervisor to sign off on. Further information on the CLA ePortfolio page.


End of Term Assessments

Completed by your Term Supervisor, who will evaluate your progress in meeting the learning objectives established at the beginning of the term or during the mid-term assessment. Further information on the CLA ePortfolio page.


Entrustable Professional Activities (EPAs)

EPAs are routine clinical tasks that an Intern or PGY2 carries out under supervision. They provide opportunities for regular, constructive feedback, supporting the ongoing development of clinical knowledge and skills.

From 2026: It is compulsory for all Interns and PGY2s in the Framework to complete at least 10 EPAs per year using the CLA ePortfolio.

The Four EPAs

EPA 1 Clinical Assessment

EPA 1 — Clinical Assessment

Conduct a clinical assessment of a patient incorporating history, examination, and formulation of a differential diagnosis and a management plan including appropriate investigations.

Learn more about EPA 1 →

EPA 2 Recognition and care of the acutely unwell patient

EPA 2 — Acute Patient Management

Recognise, assess, escalate appropriately, and provide immediate management to deteriorating and acutely unwell patients.

Learn more about EPA 2 →

EPA 3 Prescribing

EPA 3 — Therapeutic Prescribing

Appropriately prescribe therapies (drugs, fluids, blood products, inhalational therapies including oxygen) tailored to patients’ needs and conditions, either in response to a request by the treating team or self-initiated.

Learn more about EPA 3 →

EPA 4 Team Communication

EPA 4 — Communication & Documentation

Communicate about patient care, including accurate documentation and written and verbal information to facilitate high-quality care at transition points and referral.

Learn more about EPA 4 →


Information for JMOs

  • EPA assessment process — Read carefully
  • PMCV training video — Watch to strengthen your understanding of EPAs and how they are incorporated into your training journey
  • Surgical term clinical scenario examples
  • The EPA assessment involves an observer directly supervising you while completing an activity
  • You are required to complete one EPA 1 per rotation plus one EPA 2/3 or 4
  • EPAs are in addition to Mid and End of Term Assessments

Information for EPA Assessors / Supervisors


Ready to Get Started?

Access the CLA ePortfolio platform to begin completing your assessments and EPAs.

Access CLA ePortfolio